The use of platelet rich plasma (PRP) and bone graft in surgical treatment of nasopalatine duct cyst: A case report

Background: The nasopalatine duct cyst is the most common non-odontogenic developmental cysts, also termed as incisive canal cyst. It was seen in 3-12% of operated cysts of the jaw with maximum incidences are seen in adult males. The cyst originates from epithelial remnants from the nasopalatine duct that may be activated spontaneously during life or are eventually stimulated by the irritating action of various agents (infection, etc.).

Purpose: The purpose of writing this article is to describe a treatment of nasopalatine duct cyst by surgery and application of bone graft accompanied with PRP.

Case: A 46-year-old male patient came with complaints of a lump on the roof of the mouth in for 4 months ago which was initially small but gradually enlarged. On intra-oral examination, a mass was seen in the midline region of the palate, round shape, 3 cm x 4 cm in diameter, and the same color as the surrounding tissue. The patient was diagnosed with nasopalatine duct cyst. 

Case management: Cyst enucleation was performed under general anaesthesia. Post retrieval cyst wall defect reconstructed with xenogenic bone graft and covered with platelet rich plasma (PRP). 

Conclusion: Enucleation with the application of bone graft and PRP in the treatment of nasopalatine duct cysts can provide a good surgical output.